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Verfasst von:Slebos, Dirk-Jan [VerfasserIn]   i
 Ten Hacken, Nick H. [VerfasserIn]   i
 Hetzel, Martin [VerfasserIn]   i
 Herth, Felix [VerfasserIn]   i
 Shah, Pallav [VerfasserIn]   i
Titel:Endobronchial coils for endoscopic lung volume reduction
Titelzusatz:best practice recommendations from an expert panel
Verf.angabe:Dirk-Jan Slebos, Nick H. ten Hacken, Martin Hetzel, Felix J.F. Herth, Pallav L. Shah
E-Jahr:2018
Jahr:July 2018
Umfang:11 S.
Fussnoten:Gesehen am 11.06.2019
Titel Quelle:Enthalten in: Respiration
Ort Quelle:Basel : Karger, 1968
Jahr Quelle:2018
Band/Heft Quelle:96(2018), 1, Seite 1-11
ISSN Quelle:1423-0356
Abstract:Endobronchial coils are an additional treatment option for lung volume reduction in patients with severe emphysema. Patient selection should be focused on patients with severe emphysema on optimal medical therapy and with evidence of severe hyperinflation. The technique is suitable in a broad range of patients with emphysema; however, patients with paraseptal emphysema, large focal (giant) bullae, significant co-morbidity and airway-predominant disease should be avoided. Treatment involves placing between 10 and 14 coils by bronchoscopy in the selected treatment lobe, with 2 lobes being treated sequentially. Lobe selection for treatment should be based on quantitative computed tomography, and the lobes with the greatest destruction should be targeted (excluding the right middle lobe). The treatment results in an improvement in pulmonary function, exercise performance and quality of life, particularly in patients with severe hyperinflation (residual volume > 200% predicted) and upper-lobe heterogeneous emphysema, but will also be of benefit in lower-lobe predominant and homogeneous emphysema. Finally, it has an acceptable safety profile, although special attention has to be paid to coil-associated opacity which is an inflammatory response that occurs in some patients treated with endobronchial coils.
DOI:doi:10.1159/000490193
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1159/000490193
 Volltext: https://www.karger.com/Article/FullText/490193
 DOI: https://doi.org/10.1159/000490193
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1667205870
Verknüpfungen:→ Zeitschrift

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